7/23/2019 2015-2016 Southlands School Directory Submitting
Form
1/2
Please return this form (for every student) by
Wednesday,September 23, 2015. ou may use 1 form for
multiple!hildren.
.
- "# $
Any questions please email [email protected]
2015-2016 Southlands SchoolDirectory
I DO want my child's contact information to appear in the
Directory
y child!s in"ormation is the same as last year-OR-
#lease print clearly and pro$ide any o" the "ollowin%
in"ormation as you would li&e itto appear in the directory 'any
(eld may be le"t blan&).
StreetAddress*++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
#arent,uardian 1* #arent,uardian 2*
/irst ame*++++++++++++++++++++++++++++ /irst
ame*+++++++++++++++++++++++++++++++++
ast ame* +++++++++++++++++++++++++++ ast*
++++++++++++++++++++++++++++++++++++++
mail* +++++++++++++++++++++++++++++++ mail*
++++++++++++++++++++++++++++++++++++
#hone* +++++++++++++++++++++++++++++++ #hone*
++++++++++++++++++++++++++++++++++++
#arent,uardian Si nature
Southlands #A3 collates contact in"ormation "or each child on a
$oluntary basis and ma&es thein"ormation a$ailable in a
directory "or school and parent use. 4he in"ormation is or%anied
byclass. t is not used "or solicitation or any other purpose. 4he
directory is distributed to anyoneat Southlands who wishes to
purchase it.
3hild!s
ame*/irst*++++++++++++++++++++++++++++++++ast*+++++++++++++++++++++++++++++++++
3hild!s rade* +++++++ 3hild!s 4eacher
orDi$ision*++++++++++++++++++++++++++++++++++++++
% &" '" ant *' of my !hild+s !onta!t information to appear
in the
&ire!tory
#arent,uardianame+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
#arent uardian Si nature
mailto:[email protected]:[email protected]
